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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Burning Sensation In The Abdomen

Hi - I am experiencing a burning pain in my left upper abdomen that goes thru to my back and has been constant for the last two days. I went thru several cases of pancreatitis before it was discovered that I had a sluggish gall bladder, it was removed, but the pain feels very much like it did in those incidents. I am not running a fever and have restricted liquids and foods since yesterday afternoon and have been taking percocet and ibuprofen to help deal with the pain. Does this sound like it could be another case of pancreatitis or could it be something else and what can I do from home? I got laid off last year and have no insurance and would like to avoid racking up the kind of medical bills I had with the other bouts of pancreatitis.



Thanks - Jodi

                                                                 
Mon, 2 Mar 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query.
From your history there is no Pancreatitis, only you had sluggish gall bladder, which was already removed.
Your classical symptoms of pain in the left upper abdomen going through to the back can be due to Gastritis for which Upper GI endoscopy should have been done.
Get Endoscopy done if not yet done.
The treatment required by you is as follows.
I would advise the following in such a patient:
Zantac 12 hourly.
Pepcid every 3 to 4 hours when on empty stomach.
Add Domperidone or such motility regulators.
Soft bland diet.
No aerated colas / soda/ drinks.
Early dinner. No late nights.
Treatment for anxiety (as prescribed / needs a prescription by your Doctor)
Lying in a reclining position
Walk around after dinner.
Think of the factors which increased the present problem, GERD, anxiety and try to avoid.
If no relief, get Upper GI endoscopy done and get prescription for added Medicines.
EKG for the heart n a safer side to rule out cardiac problems.
This helps all my patients and should help you hopefully.
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Suggest Treatment For Burning Sensation In The Abdomen

Hi. Thanks for your query. From your history there is no Pancreatitis, only you had sluggish gall bladder, which was already removed. Your classical symptoms of pain in the left upper abdomen going through to the back can be due to Gastritis for which Upper GI endoscopy should have been done. Get Endoscopy done if not yet done. The treatment required by you is as follows. I would advise the following in such a patient: Zantac 12 hourly. Pepcid every 3 to 4 hours when on empty stomach. Add Domperidone or such motility regulators. Soft bland diet. No aerated colas / soda/ drinks. Early dinner. No late nights. Treatment for anxiety (as prescribed / needs a prescription by your Doctor) Lying in a reclining position Walk around after dinner. Think of the factors which increased the present problem, GERD, anxiety and try to avoid. If no relief, get Upper GI endoscopy done and get prescription for added Medicines. EKG for the heart n a safer side to rule out cardiac problems. This helps all my patients and should help you hopefully.